Carly Burgos

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI6763 Issued in FL

Practice address

737 SW Port St Lucie Blvd
Port Saint Lucie, FL 34953-2618

Phone

(561) 909-9738

NPI assigned

Aug 2, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1184398497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 SW MAPLEWOOD DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862312",
            "telephone_number": "954-643-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 SW PORT ST LUCIE BLVD",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349532618",
            "telephone_number": "561-909-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOS",
        "first_name": "CARLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI6763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliz Bruno, MS
• Annmarie Bryan, CPT, RPT
• Brandon Tyler Bryant, PHARMD
• Jennifer M Buchmeyer, MA, CCC/SLP
• Buckleaf Home Care LLC
• Vanessa Burgos
• Shantana Burrell
• Lisa Burton, ALPS, LPC, NCC
• Lori Butala, RN
• Sharon Jefferson Butts, RPH

• Speech-Language Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.